Paul doesn’t use drugs such as cocaine, but does admit to smoking marijuana use from time to time. As with his drinking alcohol, Paul says the marijuana gives him a nice feeling. He estimates he drinks every weekend when he gets together with friends, beer and some shots, which leads to his typically getting dru...

Paul doesn’t use drugs such as cocaine, but does admit to smoking marijuana use from time to time. As with his drinking alcohol, Paul says the marijuana gives him a nice feeling. He estimates he drinks every weekend when he gets together with friends, beer and some shots, which leads to his typically getting drunk. Paul will drink a little more than his friends, which he says enables him to feel good and distracted. Paul admits to drinking and...Paul doesn’t use drugs such as cocaine, but does admit to smoking marijuana use from time to time. As with his drinking alcohol, Paul says the marijuana gives him a nice feeling. He estimates he drinks every weekend when he gets together with friends, beer and some shots, which leads to his typically getting drunk. Paul will drink a little more than his friends, which he says enables him to feel good and distracted. Paul admits to drinking and driving, sometimes with other passengers in his car. When questioned about his reckless behaviors, Paul says he doesn’t care what could happen, understanding the risk in drinking and driving, and that it makes him feel that he’s the person he usually only pretends to be. Paul knows he should stop.
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Natalie describes the relationship with her mother as good, distant in a way, and gentle. Natalie’s relationship with her father isn’t close but he pushes her to do her best in school and can be hard on her. Natalie admits that her father’s “encouragement” is often critical and he’s verbally abusive,...

Natalie describes the relationship with her mother as good, distant in a way, and gentle. Natalie’s relationship with her father isn’t close but he pushes her to do her best in school and can be hard on her. Natalie admits that her father’s “encouragement” is often critical and he’s verbally abusive, primarily when he’s been drinking. During those episodes when he’s been drinking, which happen regularly, he will call her “worth...Natalie describes the relationship with her mother as good, distant in a way, and gentle. Natalie’s relationship with her father isn’t close but he pushes her to do her best in school and can be hard on her. Natalie admits that her father’s “encouragement” is often critical and he’s verbally abusive, primarily when he’s been drinking. During those episodes when he’s been drinking, which happen regularly, he will call her “worthless” and “a waste of space.” These comments make Natalie feel small and cause her to shut down. Natalie’s mom tries to stay out of the middle and has never interrupted her father’s verbal abuse of Natalie. According to Natalie, her mother isn’t strong and never stands up to her father. Natalie’s relationship with her brother, who has recently moved home, is further strained. Natalie’s brother sometimes gets physical with her, but she claims it’s just wrestling or “playing.” These physical alterations with her brother have resulted in some bruising. Though Natalie doesn’t find the wrestling fun, she says it’s not horrible either.
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Natalie’s appetite and eating behavior has become inconsistent lately. Some days she doesn’t eat a meal and some days she’ll eat a full day’s food in one sitting. When she eats enough food for one sitting, she feels relief and then regret. Overall, she’s lost a few pounds over the last few months. Ho...

Natalie’s appetite and eating behavior has become inconsistent lately. Some days she doesn’t eat a meal and some days she’ll eat a full day’s food in one sitting. When she eats enough food for one sitting, she feels relief and then regret. Overall, she’s lost a few pounds over the last few months. However, before this period, Natalie was eating regularly, breakfast, lunch and dinner normally.

Brian is upset, angry when the nurse asks about his activities because Brian can’t do anything physical due to his lungs. Once calm, Brian talks about a connection he had with a therapy dog at the hospital. When discussing the possibly of getting a dog, Brian becomes visibly happy and positive. The nurse reminds...

Brian is upset, angry when the nurse asks about his activities because Brian can’t do anything physical due to his lungs. Once calm, Brian talks about a connection he had with a therapy dog at the hospital. When discussing the possibly of getting a dog, Brian becomes visibly happy and positive. The nurse reminds Brian that these moments of joy are important to remember.

The nurse asks Kramer about his relationships with family and friends and how they may or may not have changed over the last few months. Kramer has recently felt some detachment from his friends but has not been avoiding them. With his father serving overseas in the military, Kramer has very little connection to h...

The nurse asks Kramer about his relationships with family and friends and how they may or may not have changed over the last few months. Kramer has recently felt some detachment from his friends but has not been avoiding them. With his father serving overseas in the military, Kramer has very little connection to his father. Kramer’s primary relationship is with his mother, which had been a strong connection until she discovered him using some m...The nurse asks Kramer about his relationships with family and friends and how they may or may not have changed over the last few months. Kramer has recently felt some detachment from his friends but has not been avoiding them. With his father serving overseas in the military, Kramer has very little connection to his father. Kramer’s primary relationship is with his mother, which had been a strong connection until she discovered him using some marijuana, which has since led to increasing tension and arguments at home.
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Anna has not taken any medications for her mood, has not tried any street drugs, and does not take any pills. One time, Ann tried taking one of her mom’s Ambien because she was having trouble falling asleep but it only “kind of helped” and made her feel bad the next day. Anna tried marijuana once over the...

Anna has not taken any medications for her mood, has not tried any street drugs, and does not take any pills. One time, Ann tried taking one of her mom’s Ambien because she was having trouble falling asleep but it only “kind of helped” and made her feel bad the next day. Anna tried marijuana once over the summer but didn’t like it and doesn’t drink alcohol as a family member recently overdosed. Anna admits that if she knew someone wh...Anna has not taken any medications for her mood, has not tried any street drugs, and does not take any pills. One time, Ann tried taking one of her mom’s Ambien because she was having trouble falling asleep but it only “kind of helped” and made her feel bad the next day. Anna tried marijuana once over the summer but didn’t like it and doesn’t drink alcohol as a family member recently overdosed. Anna admits that if she knew someone who could get her a drug or medication that would make her feel better she would consider using it.
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Mrs. Pearson discusses her lack of appetite, feelings of sadness, lack of sleep, and difficulty concentration. Mrs. Pearson admits that she has thoughts of death and wishing she could just “fall asleep and not wake up.” The nurse obtains a verbal agreement for safety.

Mrs. Pearson discusses her lack of appetite, feelings of sadness, lack of sleep, and difficulty concentration. Mrs. Pearson admits that she has thoughts of death and wishing she could just “fall asleep and not wake up.” The nurse obtains a verbal agreement for safety.

Tade is not satisfied with her sleep, believing she has insomnia. She demonstrates how the effect of another psychiatric disorder: obsessive-compulsive disorder, interferes with her sleep. A change in lighting and noise helped, but the OCD symptoms continued to interfere with her sleep. She reports rare use of...

Tade is not satisfied with her sleep, believing she has insomnia. She demonstrates how the effect of another psychiatric disorder: obsessive-compulsive disorder, interferes with her sleep. A change in lighting and noise helped, but the OCD symptoms continued to interfere with her sleep. She reports rare use of alcohol helps her to go to sleep, but she is unsure if she can remain asleep. The interviewer asks a few questions to encourage her to...Tade is not satisfied with her sleep, believing she has insomnia. She demonstrates how the effect of another psychiatric disorder: obsessive-compulsive disorder, interferes with her sleep. A change in lighting and noise helped, but the OCD symptoms continued to interfere with her sleep. She reports rare use of alcohol helps her to go to sleep, but she is unsure if she can remain asleep. The interviewer asks a few questions to encourage her to elaborate. Tade’s answers revealed that a recent breakup in a relationship was a contributing factor to her poor sleep. In addition, her poor sleep negatively impacted her work.
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Susie is a sophomore in college, who suffers from depression that was diagnosed by her psychiatrist father. At home, her parents often argue, which weighs on Susie who sometimes believes her mental health is the underlying cause of her parents’ marital problems. Susie does not always give mature or sophisticat...

Susie is a sophomore in college, who suffers from depression that was diagnosed by her psychiatrist father. At home, her parents often argue, which weighs on Susie who sometimes believes her mental health is the underlying cause of her parents’ marital problems. Susie does not always give mature or sophisticated responses, but at times demonstrates higher, abstract thinking. At times, her responses become difficult to understand as she mumbl...Susie is a sophomore in college, who suffers from depression that was diagnosed by her psychiatrist father. At home, her parents often argue, which weighs on Susie who sometimes believes her mental health is the underlying cause of her parents’ marital problems. Susie does not always give mature or sophisticated responses, but at times demonstrates higher, abstract thinking. At times, her responses become difficult to understand as she mumbles or drops the volume of her voice. She exhibits depression, a labile affect, and at times a bit of oppositional/combative behavior.
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